NPIMap

Individual provider Active NPI

Enrique A Wulff, MD

  • Neurology Physician
  • Salem, OH
National Provider Identifier
1114030186
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME82397 Issued in FL
Practice address
1995 E State St
Salem, OH 44460-2423
Phone
(330) 337-4940
Fax
(330) 337-6947
NPI assigned
Aug 16, 2006
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME82397 FL Primary

Addresses

Primary practice location

1995 E State St
Salem, OH 44460-2423

Mailing address

1995 E State St
Salem, OH 44460-2423
Phone (330) 337-4940

Other identifiers 1

IdentifierTypeStateIssuer
261721800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address enrique.wulff@salemregional.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029002717 OH Practitioner - Neurology 0840192787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7672

750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Enrique a Wulff MD PA Neurology CurrentSince Mar 29, 2013 Accepting new patients
SCH Professional Corporation Neurology CurrentSince Nov 1, 2024 Accepting new patients
Neurological Care Center, L.L.C. Past Accepting new patients
Child Neurology Center of Northwest Florida PA PastSince Apr 1, 2004 Accepting new patients
Coastal Kids Endocrinology and Weight Management LLC Past Accepting new patients
Gulf Coast Hma Physician Management LLC Past Accepting new patients
Cny Neurology, PLLC Neurology Past Accepting new patients

Locations

351 NW Le Jeune Rd
Ste 103
Miami, FL 33126
Phone (305) 262-9900

400 Town Center Ave
Ste 301
Columbiana, OH 44408
Phone (330) 482-3871

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1114030186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-337-4940",
            "fax_number": "330-337-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602423",
            "telephone_number": "330-337-4940",
            "fax_number": "330-337-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFF",
        "first_name": "ENRIQUE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME82397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261721800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enrique.wulff@salemregional.medicity.net",
            "affiliation": "N",
            "address_1": "1995 E State St",
            "city": "Salem",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444602423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.